KENNETH R. BARRY PA

NORTH SHORE LIJ URGENT CARE PC

Dr KENNETH R. BARRY PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.

Contact

NORTH SHORE LIJ URGENT CARE PC

2079 SMITH HAVEN PLZ
LAKE GROVE
NY
117551209

Tel: 6313156758

KENNETH R. BARRY PA Information

Npi 1487631693
Pac Id 6608853684
Professional Enrollment Id I20040707000975
Last Name BARRY
First Name KENNETH
Middle Name R.
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH SHORE LIJ URGENT CARE PC
Group Practice Pac Id 6002131778
Number Of Group Practice Members 179
Line 1 Street Address 2079 SMITH HAVEN PLZ
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAKE GROVE
State NY
Zip Code 117551209
Phone Number 6313156758
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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